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The literature of the prostate and its operative treatment has become so vast that I will not attempt to discuss the many valuable articles which bear on this subject, but will simply present a r\l=e' \sum\l=e' \of my own work and the problems which have presented themselves.My first prostatectomy1 was in 1898, a patient on whom a suprapubic opening had been made for drainage. At this operation a tremendous intravesical outgrowth of the middle lobe was found, and as there was very little enlargement of the lateral lobes, I enucleated the mass through the suprapubic wound, with the assistance of a finger in the rectum (Fig. 1), a method which has also been employed by Guiteras, and